Efficacy and safety of spinal anesthesia in operations of hernias of intervertebral discs

Objective: comprehensive evaluation of the effectiveness and safety of spinal anesthesia (SA) in the rapid elimination of discogenic hernia. Material and methods: The basis of the clinical trial data are laid 65 patients with spinal disorders and spinal cord in the lumbar and sacral levels. Depending on the type of anesthesia used (CA or total intravenous anesthesia (TIA) with mechanical ventilation (MV) endotracheal way + О2), the patients were divided into two groups. Results: The research revealed that just before surgery in all patients s-BP, d-BP, m-BP, HR, SpО2 was within the normal range. These results suggest that the TIA with ventilator endotracheal way + О2 does not fully ensure the full protection of the body from operating aggression. CA isobaric with 0.5% solution of bupi- vacaine in a dose of 15 mg 20 provides anesthesia beginning 5-8 min lasts 2-3 hours. Patients were observed clinically significant disorders of respiratory function and hemodynamics. Conclusion: The described technique allows to carry out surgery safely and effectively